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Doctor insights on: Is Melatonin Safe For Dementia Patients With Afib

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82 yoM, Pradaxa (Afib) til 7/8, when pain, small gangrene 5th toe. Now much worse. CABG, dementia, uses walker. Arteriogram/surg possible before 7/15?

82 yoM, Pradaxa (Afib) til 7/8, when pain, small gangrene 5th toe. Now much worse. CABG, dementia, uses walker. Arteriogram/surg possible before 7/15?

Unclear question.: Certainly consulting current treating physicians about surgery on the toe makes sense. The things that increase risk of heart disease and need for CABG all increase likelihood of dementia. Major surgeries like a CABG can cause, worsen and/or make cognitive impairment and dementia more apparent. Palliative care and symptom management may be a preferred approach. ...Read more

Dr. Heidi Fowler
691 Doctors shared insights

Melatonin (Definition)

Melatonin_is a hormone that helps regulate sleep. Some studies suggest that there is abnormal melatonin production in children with autism and other developmental disorders. Several studies suggest that melatonin may be useful for improving sleep, if ...Read more


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Is melatonin safe for dementia patients with afib?

Is melatonin safe for dementia patients with afib?

Prob: The question is whether we can figure out what is the cause of insomnia in a person with dementia---at times it can be caused by sleep architecture breakdown from the illness itself; at times from poor sleep hygiene; at times from meds or alcohol; at times from a sleep disorder such as apnea; can be from depression;; so important to first try to get to the cause... ...Read more

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Is melatonin safe for dementia patients? No bad effects for dementia patients?

Is melatonin safe for dementia patients? No bad effects for dementia patients?

Yes: Latest published studies showed that alzheimer's patients lack melatomin related metabolism in the body resulting sundowning effect. With the introduction of taking melatonin at bedtime reduces the severity of sundowning and sleeping related behavioral issues but does not completely resolve... ...Read more

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82 yoM, Pradaxa (Afib) til 7/8, when pain, small gangrene 5th toe. Now much worse. CABG, dementia, uses walker. Arteriogram/surg possible before 7/15?

Unclear question.: Certainly consulting current treating physicians about surgery on the toe makes sense. The things that increase risk of heart disease and need for CABG all increase likelihood of dementia. Major surgeries like a CABG can cause, worsen and/or make cognitive impairment and dementia more apparent. Palliative care and symptom management may be a preferred approach. ...Read more

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Names of most suitable ssri antidepressant needed for multiinfarct stroke dementia patient, 67, with minor congestive heart failure, atrial fibrillation, diabetes. Dosage and duration info appreciated.

Names of most suitable ssri antidepressant needed for multiinfarct stroke dementia patient, 67, with minor congestive heart failure, atrial fibrillation, diabetes. Dosage and duration info appreciated.

SSRIs: There is some evidence that ssris help with post stroke remodeling where the brain works on regrowing connections between brain areas that were not killed by the stroke. There is also evidence they help prevent post stroke depression that is very common. Not much reason to think one ssri is better than another. See your prescriber for specific dosage recommendations. ...Read more

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Is cipro (ciprofloxacin) safe to use with patients with afib?

Is cipro (ciprofloxacin) safe to use with patients with afib?

Maybe: As long as you're not on any other meds that interact with cipro (ciprofloxacin) ...Read more

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Is moduretic (50/5) half tablet safe to be used to control bp if serum creatinine 1.7, blood urea 37, s, k, 4 in 72 yr patient with paroxysmal Afib?

Is moduretic (50/5) half tablet safe to be used to control bp if serum creatinine 1.7, blood urea 37, s, k, 4 in 72 yr patient with paroxysmal Afib?

Ask your doctor now: You should bring this question to your prescribing doctor for any concern or possible misunderstanding since s/he knows more about your individual conditions than anyone online. Further inquiry online may add unnecessary confusion, anxiety, & even fear. Do you trust your doctor? If not, see others as needed. ...Read more

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Is it safe to treat young patient <60 with resistant hypertension & afib with ARB+Metoprolol+Amlodipine+HCT+Dabigatran+Rosuvastatin? GFR>80, LDL-C<50

Is it safe to treat young patient <60 with resistant hypertension & afib with ARB+Metoprolol+Amlodipine+HCT+Dabigatran+Rosuvastatin? GFR>80, LDL-C<50

Yes, this is a: Reasonable combination of medications but one would like to be certain that any reversible causes of the HTN have been evaluated and treated. Renal artery stenosis, morbid obesity, dietary noncompliance, etc. ...Read more

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Is it safe for a patient with dementia to get versed for a colonoscopy? Why or why not?

Is it safe for a patient with dementia to get versed for a colonoscopy? Why or why not?

Versed: The colonoscopy procedure will be fairly quick, but patients do need some sedation. Versed is frequently used, and is safe. It wears off very quickly also. Patients are carefully monitored and cared for during the procedure and after. They are in a recovery room until all systems are back to baseline. ...Read more

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Is melatonin safe with asthmatic and diabetis type 2 patients?

Yes: If melatonin improves your sleep then it may even help type 2 diabetes. Getting at least 7 hours sleep per night helps with weight loss and thus blood sugar control. ...Read more

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Is melatonin 5mg time released safe for diabetics and cardio patients...I have 2 stents in LAD?

Is melatonin 5mg time released safe for diabetics and cardio patients...I have 2 stents in LAD?

It is: Appropriate doses of melatonin are generally safe in diabetes and heart disease. It does slightly reduce clotting ability so is used with caution when on another blood thinner, and one should always notify prescribing doctors when considering a new OTC med/supplement. 3mg taken 4 hours before bed is the most effective studied dose of melatonin, and timed-release forms offer no additional benefit ...Read more

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Is it safe to give a dementia patient seroquel (quetiapine) and clonapin?

Is it safe to give a dementia patient seroquel (quetiapine) and clonapin?

Likely so: But ask the prescriber who knows the specifics about the persons diagnosis, symptoms, allergies, other medications, other medical problems and the many other things one must know to properly prescribe for a person. ...Read more

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Is clonazepam tablet safe for an old lady 80 yrs who is a patient of dementia nd presently suffring from a stage of insomnia?

Is clonazepam tablet safe for an old lady 80 yrs who is a patient of dementia nd presently suffring from a stage of insomnia?

Probably not: Clonazepam is a strong and more importantly, long acting sedating medication. This medication is usually used for anxiety. I don't recommend using this medication for insomnia, as it would be an off-label use. In addition, the side effects of this medication may be more profound in the elderly. ...Read more

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Is dementia hereditary disease? What cautions should be taken to patient in order to live a safe life?

Is dementia hereditary disease? What cautions should be taken to patient in order to live a safe life?

Yes and no: If there is an illness that runs in your family you should speak to your doctor about it. There are many types of dementia. Some of them are genetically passed on while others aren't. The most common type of dementia is alzheimers disease and there are 2 forms. The early onset form is highly heritable. Alcoholic dementia is not inherited though a propensity for alcohol dependence can be. ...Read more

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Is risperdal. 5 mg dose safe for an elder patient with alzheimer's and vascular dementia? I read this drug can cause sudden death in elder patients.

Is risperdal. 5 mg dose safe for an elder patient with alzheimer's and vascular dementia? I read this drug can cause sudden death in elder patients.

No: According to all studies so far, any antipsychotic used for the purpose of treating behavioral problems or psychosis related to dementia is associated with earlier stroke-related death. This occurs regardless of the antipsychotic and the dose. There are some studies that have shown some antipsychotics to be safer than others (like quetiapine) but those studies are small and inconclusive. ...Read more

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Why are CHF patients in and out of afib a lot?

Afib and chf: Atrial fibrillation is common when left atrium is dilated or under a pressure or volume load. These are the loading conditions which are present during chf. This is why afib is common in chf. ...Read more

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What causes clots in patients with atrial fibrillation?

What causes clots in patients with atrial fibrillation?

Standstill: The extremely rapid rates of atrial fibrillation are in fact so fast that they create two problems: the top chamber is not mechanically moving very far at all, so it cannot shake clots loose, and the overactive atrial tissue secretes chemicals which increase the likelihood of clot formation. These processes come together to substantially increase stroke risk. ...Read more

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What can be done for a patient in india with atrial fibrillation?

What can be done for a patient in india with atrial fibrillation?

See below: The same as we do in usa or any other country in the world. The geographic situation in the times of globalization makes the treatments widely available. Another story is the cost of them across the globe. ...Read more

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Should an electrophysiologist be an option when an 87 year old afib patient has too many side effects from prescribed drugs for this condition.

Should an electrophysiologist be an option when an 87 year old afib patient has too many side effects from prescribed drugs for this condition.

Atrial Fibrillation: It depends upon what medications were tried and what are those side effects. It is of no harm if you consult an electrophysiologist. ...Read more

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How does a cardiologist treat an afib patient in their late80's when they are intolerant of the drugs available due to other existing health issues.

How does a cardiologist treat an afib patient in their late80's when they are intolerant of the drugs available due to other existing health issues.

Limited options: A commonly used approach is a pacemaker with an AV node ablation to help symptoms however not all will benefit from this but your Cardiologist or Electrophysiologist can give insight into your particular situation ...Read more

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I'm in Afib n atrial flutter. Can I do some physical exercise? What is the best exercise for patient Afib n Atrial flutter like me?? thank you

I'm in Afib n atrial flutter. Can I do some physical exercise? What is the best exercise for patient Afib n Atrial flutter like me?? thank you

Exercise is good for: You must exercise; it is not harmful to your heart rhythm. But do it with moderate pace like a brisk walk for one to two miles daily (start slowly and build it up). Avoid heavy duty weight lifting etc.
Good luck ...Read more

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What is average daily dose in mg or beta blocker a Afib patient would be taking?

What is average daily dose in mg or beta blocker a Afib patient would be taking?

Variable: The dose varies from patient to patient as to get effective rate control. Need monitoring by the doc and you ...Read more

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Which drugs are mostly recomended to start therapy for patients with atrial fibrillation. Is quinidine a good chioce?

Which drugs are mostly recomended to start therapy for patients with atrial fibrillation. Is quinidine a good chioce?

Atrial fibrillation: Quinidine is only rarely used any more. We older doctors learned years ago that we killed some folks with it. There are more recent and safer drugs that we use now. Talk to your doctor to discuss if you have afib, a cloud doctor shouldn't be advising you without knowing your situation. ...Read more

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For an Atrial Fibrillation patient, how critical is it to have sinus rhythm restored within a short time, assuming the patient takes NOAC full time?

For an Atrial Fibrillation patient, how critical is it to have sinus rhythm restored within a short time, assuming the patient takes NOAC full time?

Afib begets Afib.: The longer you are in Afib the less likely you are to be able to be converted and maintained in NSR. It is not "critical" but certainly desirable to be restored to NSR as soon as possible. If you are fully compliant with your NOAC you could go for cardioversion at any time. No waiting required. ...Read more

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If a patient has an pt of 60.1 and is taking plavix (clopidogrel) for atrial fibrillation, what orders would you take? Would you discontinue the plavix (clopidogrel)?

If a patient has an pt of 60.1 and is taking plavix (clopidogrel) for atrial fibrillation, what orders would you take? Would you discontinue the plavix (clopidogrel)?

Coagulation defect: With a pt of 60 your risk of bleeding is high. Why you have it is a problem. Plavix (clopidogrel) is an anti platelet agent but at the risk of bleeding you have I would stop it. Your doctor has to talk to you and find out all the medicine you are taking, evaluate your liver and your coagulation system to find out why you have coagulopathy. ...Read more

Dr. Maureen Nash
1,473 Doctors shared insights

Dementia (Definition)

A brain disorder that seriously affects a person’s ability to carry out daily activities. The most common form of dementia among older people is Alzheimer’s disease (AD), which initially involves the parts of the brain that control ...Read more


Dr. John Garner
1,831 Doctors shared insights

Atrial Fibrillation (Definition)

A heart condition, in which the electrical activity of the heart is abnormal. This abnormal electrical signal causes the heart muscle to contract when it is not supposed to and thus blood is ...Read more